Magnolia Center for Counseling and Eating Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1642 Issued in NC

Legal business name

MAGNOLIA CENTER FOR COUNSELING AND EATING RECOVERY

Practice address

1400 Old Mill Cir
Suite B
Winston Salem, NC 27103-2977

Phone

(336) 407-4636

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany Simpson, MBS, MA, LMFT

Title

Owner/Therapist

Phone

(336) 407-4636

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1770023038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S PEACE HAVEN RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271039786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD MILL CIR",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032977",
            "telephone_number": "336-407-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CENTER FOR COUNSELING AND EATING RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "336-407-4636",
        "authorized_official_credential": "MBS, MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "1642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Jameson Maffei, MD, PHD
• Dillon James Magalski, MD
• Matthew Christopher Ellis Magee
• Mackenzie Magid, PHARMD
• Alexander Nathanial Magidson
• Magnolia Center, PLLC (Magnolia Center For Counseling and Eating Recovery, PLLC)
• Megan Lee Maguire, PA
• Autumn Dale Mahaffey, CRNA
• Niyati Mahajan, MD
• Justine Maher, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.